APEA Pre-Predictor Exam (Latest 2026) Questions with Revised
Answers, (A+ Guarantee) LATEST UPDATE
1. A pregnant woman at 34 weeks gestation presents with painless bright-red vaginal
bleeding. The nurse suspects:
A. Abruptio placentae
B. Placenta previa
C. Preterm labor
D. Ectopic pregnancy
Answer: B
Rationale: Painless bright-red bleeding in the third trimester is characteristic of placenta
previa.
2. A woman in labor receiving oxytocin has a fetal heart rate of 80 bpm with minimal
variability. The nurse’s first action should be:
A. Stop the oxytocin infusion
B. Place the patient in left lateral position
C. Increase IV fluids
D. Administer oxygen
Answer: A
Rationale: FHR of 80 bpm is severe bradycardia. Stopping the oxytocin (which may be
causing uterine hyperstimulation) is highest priority.
3. A newborn has an APGAR score of 5 at 1 minute. The nurse should:
A. Dry and stimulate the baby
B. Place baby on mother’s chest skin-to-skin
C. Begin chest compressions immediately
D. Delay cord clamping until 3 minutes
Answer: A
Rationale: APGAR of 5 indicates moderate distress — initial steps: dry, warm,
1
stimulate, assess need for oxygen.
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EXAMPREPMASTER
, 4. A postpartum woman 2 hours after delivery has a boggy fundus and peripad saturated in
10 minutes. The nurse’s immediate action is to:
A. Perform fundal massage
B. Call for surgical intervention
C. Encourage ambulation
D. Monitor and reassure
Answer: A
Rationale: Boggy fundus + heavy bleeding indicates postpartum hemorrhage risk.
Uterine massage helps contract the uterus and reduce bleeding.
5. A pregnant woman with gestational diabetes should target a fasting blood glucose of
___?
A. 140 mg/dL
B. 95 mg/dL
C. 110 mg/dL
D. 130 mg/dL
Answer: B
Rationale: For gestational diabetes, recommended fasting targets are often ≤95 mg/dL to
minimize fetal complications.
6. Which vaccine is safe at any time during pregnancy?
A. Varicella
B. MMR
C. Inactivated influenza
D. Live polio
Answer: C
Rationale: The inactivated influenza vaccine is safe at any trimester. Live vaccines are
contraindicated during pregnancy.
7. A woman at 30 weeks gestation reports headache, visual disturbances, and BP 160/110
with proteinuria. The nurse recognises this as:
A. Gestational hypertension
B. Chronic hypertension
C. Preeclampsia with severe features
D. Eclampsia
Answer: C
Rationale: BP ≥ 160/110 plus visual symptoms and proteinuria indicates preeclampsia
with severe features.
8. Which of the following is secondary prevention in maternity care?
A. Educating on balanced diet before pregnancy
B. Screening for gestational diabetes at 24-28 weeks
C. Administering Rho(D) immune globulin
D. Providing postpartum depression counselling
Answer: B
Rationale: Secondary prevention aims to detect disease early (screening) — screening
for gestational diabetes fits.
9. A laboring patient has sudden “shoulder” that won’t deliver after head. The nurse should:
A. Apply fundal pressure
2
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B. Perform McRoberts manoeuvre and suprapubic pressure
EXAMPREPMASTER
, C. Prepare for immediate C-section
D. Call for vacuum extraction
Answer: B
Rationale: Shoulder dystocia: McRoberts + suprapubic pressure are first manoeuvres to
relieve the shoulder impaction.
10. A newborn is noted to have tremors, lethargy, and a respiratory rate of 70 breaths/minute.
The nurse suspects:
A. Hypoglycemia
B. Hyperbilirubinaemia
C. Transient tachypnea
D. Birth asphyxia
Answer: A
Rationale: Tremors + lethargy in a newborn point to hypoglycemia; respiratory rate of
70 is high but the neuro signs point more to hypoglycemia.
1. A woman at 24 weeks gestation reports painless bright red vaginal bleeding. The nurse
suspects:
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
Rationale: Painless bright-red bleeding in the second/third trimester is characteristic
of Placenta previa.
2. A pregnant client at 7 weeks gestation asks about urinary frequency. The nurse
appropriately responds:
A. “It should only last until about week 12, then it may return later.”
B. “It will continue all through the pregnancy.”
C. “You should reduce fluid intake so it won’t bother you.”
D. “It means you have a bladder infection.”
Answer: A
Rationale: Early in pregnancy, urinary frequency is common due to hormonal changes; it
often reduces in second trimester then may return in third. Naxlex+1
3. A woman in labor receiving an oxytocin infusion has a fetal heart rate (FHR) of 80 bpm
with minimal variability. The nurse’s first action should be:
3
A. Increase the infusion rate
Page
B. Place the client in the left lateral position
EXAMPREPMASTER
Answers, (A+ Guarantee) LATEST UPDATE
1. A pregnant woman at 34 weeks gestation presents with painless bright-red vaginal
bleeding. The nurse suspects:
A. Abruptio placentae
B. Placenta previa
C. Preterm labor
D. Ectopic pregnancy
Answer: B
Rationale: Painless bright-red bleeding in the third trimester is characteristic of placenta
previa.
2. A woman in labor receiving oxytocin has a fetal heart rate of 80 bpm with minimal
variability. The nurse’s first action should be:
A. Stop the oxytocin infusion
B. Place the patient in left lateral position
C. Increase IV fluids
D. Administer oxygen
Answer: A
Rationale: FHR of 80 bpm is severe bradycardia. Stopping the oxytocin (which may be
causing uterine hyperstimulation) is highest priority.
3. A newborn has an APGAR score of 5 at 1 minute. The nurse should:
A. Dry and stimulate the baby
B. Place baby on mother’s chest skin-to-skin
C. Begin chest compressions immediately
D. Delay cord clamping until 3 minutes
Answer: A
Rationale: APGAR of 5 indicates moderate distress — initial steps: dry, warm,
1
stimulate, assess need for oxygen.
Page
EXAMPREPMASTER
, 4. A postpartum woman 2 hours after delivery has a boggy fundus and peripad saturated in
10 minutes. The nurse’s immediate action is to:
A. Perform fundal massage
B. Call for surgical intervention
C. Encourage ambulation
D. Monitor and reassure
Answer: A
Rationale: Boggy fundus + heavy bleeding indicates postpartum hemorrhage risk.
Uterine massage helps contract the uterus and reduce bleeding.
5. A pregnant woman with gestational diabetes should target a fasting blood glucose of
___?
A. 140 mg/dL
B. 95 mg/dL
C. 110 mg/dL
D. 130 mg/dL
Answer: B
Rationale: For gestational diabetes, recommended fasting targets are often ≤95 mg/dL to
minimize fetal complications.
6. Which vaccine is safe at any time during pregnancy?
A. Varicella
B. MMR
C. Inactivated influenza
D. Live polio
Answer: C
Rationale: The inactivated influenza vaccine is safe at any trimester. Live vaccines are
contraindicated during pregnancy.
7. A woman at 30 weeks gestation reports headache, visual disturbances, and BP 160/110
with proteinuria. The nurse recognises this as:
A. Gestational hypertension
B. Chronic hypertension
C. Preeclampsia with severe features
D. Eclampsia
Answer: C
Rationale: BP ≥ 160/110 plus visual symptoms and proteinuria indicates preeclampsia
with severe features.
8. Which of the following is secondary prevention in maternity care?
A. Educating on balanced diet before pregnancy
B. Screening for gestational diabetes at 24-28 weeks
C. Administering Rho(D) immune globulin
D. Providing postpartum depression counselling
Answer: B
Rationale: Secondary prevention aims to detect disease early (screening) — screening
for gestational diabetes fits.
9. A laboring patient has sudden “shoulder” that won’t deliver after head. The nurse should:
A. Apply fundal pressure
2
Page
B. Perform McRoberts manoeuvre and suprapubic pressure
EXAMPREPMASTER
, C. Prepare for immediate C-section
D. Call for vacuum extraction
Answer: B
Rationale: Shoulder dystocia: McRoberts + suprapubic pressure are first manoeuvres to
relieve the shoulder impaction.
10. A newborn is noted to have tremors, lethargy, and a respiratory rate of 70 breaths/minute.
The nurse suspects:
A. Hypoglycemia
B. Hyperbilirubinaemia
C. Transient tachypnea
D. Birth asphyxia
Answer: A
Rationale: Tremors + lethargy in a newborn point to hypoglycemia; respiratory rate of
70 is high but the neuro signs point more to hypoglycemia.
1. A woman at 24 weeks gestation reports painless bright red vaginal bleeding. The nurse
suspects:
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
Rationale: Painless bright-red bleeding in the second/third trimester is characteristic
of Placenta previa.
2. A pregnant client at 7 weeks gestation asks about urinary frequency. The nurse
appropriately responds:
A. “It should only last until about week 12, then it may return later.”
B. “It will continue all through the pregnancy.”
C. “You should reduce fluid intake so it won’t bother you.”
D. “It means you have a bladder infection.”
Answer: A
Rationale: Early in pregnancy, urinary frequency is common due to hormonal changes; it
often reduces in second trimester then may return in third. Naxlex+1
3. A woman in labor receiving an oxytocin infusion has a fetal heart rate (FHR) of 80 bpm
with minimal variability. The nurse’s first action should be:
3
A. Increase the infusion rate
Page
B. Place the client in the left lateral position
EXAMPREPMASTER
